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Phase 3 Medicine 2026
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A 28 year old couple presents in their second pregnancy, with the woman having been induced at 38 weeks in her first pregnancy for severe pre-eclampsia. She asks you what is the chance of her having pre-eclampsia in this pregnancy. Which of the following is the most likely risk of recurrence?
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Which of the following is the major cause of perinatal mortality in Australia?
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A 32 year old nulliparous woman is referred to the Antenatal Clinic from her midwife at 38 weeks gestation because of breech presentation. The pregnancy has been otherwise unremarkable. An ultrasound at 36 weeks shows an estimated weight of 3050g, with the fetus in flexed breech position. The amniotic fluid index is 14 and umbilical artery Doppler is within normal limits. Which of the following would you recommend to this woman as the next step in management?
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A 26 year old woman complains of a vaginal discharge over the last few months but no pruritis. Which of the following is the most likely cause of her symptoms?
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A 20 year old woman, who has been taking a low dose oral contraceptive pill for the past 6 months, presents with a two day history of light vaginal bleeding. She recalls taking a pill 12 hours late several days ago but has not missed any other pills. She has never had any previous irregular bleeding on this pill. She is presently 10 days into her pill packet and had a normal withdrawal bleed 2 weeks ago. She is regularly sexually active with her partner of 6 months and had intercourse yesterday. Which of the following is the most appropriate advice?
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A 32 year old woman visits her general practitioner for a "baby check" 2 weeks after the elective caesarean delivery of her second child. He appears to be doing well but the GP picks up that there may be something else bothering her. On questioning she states that she has recovered well from her surgery but has been feeling a little sad and tearful. She is eating and sleeping normally though she says she is generally tired. She has had no strange thoughts or thoughts of hurting herself or others. She has no personal or familial history of depression. Which of the following is the most likely diagnosis?
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A 15 year old girl is brought to the Emergency Department by her mother on day 2 of her period because of heavy vaginal bleeding. She had her first period at 14 but that her periods have remained very irregular and heavy and it is nearly 8 weeks since the last one. She has no medical problems, has no personal or family history of bleeding dyscrasia, and takes no medications. Though she has a regular boyfriend she denies any sexually activity. On examination, T 37°C, PR 96/min, BP 110/70 mm Hg, and RR 12/minute. She has a BMI of 22 and some mild facial acne. Gynaecological examination reveals an intact hymen. Urine β-hCG is negative. Haemoglobin is 108 g/L (115-165). Which of the following options would be the most appropriate management?
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Which of the following human papillomavirus (HPV) subtypes are most commonly associated with visible external genital warts?
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A 35 year old woman presents with a history of severe epilepsy for which she is currently taking sodium valproate. She and her partner are considering pregnancy in the near future. After advising her of the risk to her infant from sodium valproate, which of the following is the most appropriate step in management?
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Scrubbing hand using alcohol-based hand rub requires 90 seconds.
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